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General NPI Number Information
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NPI Number | 1306041132
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Entity Type | Individual
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Provider Name | MELISSA MCGUIGAN RN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 1001 LAKESIDE AVE E
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City | CLEVELAND
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State | OH
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Zip | 44114-1158
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Country | US
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Telephone | 216-704-7440
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Fax |
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Provider Business Mailing Address
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Address Line | 7760 WOODLANDS TRAIL
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City | CHESTERLAND
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State | OH
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Zip | 44026-2450
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Country | US
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Telephone | 440-688-4066
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 16452
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 16452
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.16452
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License Number State | OH
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